CMS MED SURG
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity. Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin?
O Atorvastatin O Metformin ...
1 CMS MED SURG A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for chest discomfort with activity . Which of the following medications should the nurse instruct the client to avoid taking within 24 hr of using nitroglycerin? O Atorvastatin O Metformin O Sildenafil O Omeprazole 1) A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm°. Which of the following actions should the nurse take? O Cleanse the client's toothbrush with hydrogen peroxide. O Instruct the client to use a disposable razor to shave. O Decrease the client's protein intake. O Encourage the client to eat unpasteurized dairy products. 2) A nurse enters a client's room and sees smoke coming from the bathroom. Which of the following actions should the nurse take first? O Activate the fire alarm system. O Use a fire extinguisher at the source of the smoke. O Assist the client to a nearby common area. O Close the doors to the room and to the bathroom. 3) A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan? O Apply foam handles to the client's eating utensils. O Obtain a referral for physical therapy. O Have an assistive personnel feed the client. O Ask the provider for a prescription for a pureed diet. 4) A nurse is preparing to obtain a postprandial blood glucose level from a client who has diabetes mellitus. Which of the following actions should the nurse take? O Apply the first drop of blood to the test strip. O Clean the client's finger with hexachlorophene. O Prick the central tip of the client's finger. O Hold the client's finger in a dependent position. 5) A nurse is reinforcing teaching with a client about breast self-examinations . Which of the following statements by the client indicates an understanding of the teaching? O "It is common for one breast to be larger than the other..," O "It is common for the skin on my breasts to dimple." 2 O "| will perform breast exams the day my period begins." O "| will perform breast exams every other month." 6) A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following statements by the client indicates an understanding of the teaching? O "| will need to empty the bag every 4 to 6 hours.” O "| will use moisturizing soap to clean around the stoma before applying the bag.” O "| will use a skin sealant before | apply the bag." O "| will cut the wafer opening one-fourth of an inch larger than the stoma.” 7) A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid replacement. Which of the following interventions should the nurse contribute to the plan of care? O Offer oral fluids every 4 hr. O Check for neck vein distention. O Limit oral fluids prior to bedtime. O Monitor pulse pressure every 6 hr. 8) A nurse is caring for a young adult client who has testicular cancer and expresses concern about their sexual function following an orchiectomy of the involved testicle. Which of the following responses should the nurse make? O "I'm sure any partner will understand that you have no control over this.” O "There are other ways to express intimacy besides intercourse.” O "You should focus on recovering from your cancer right now." O "The removal of a single testicle will not prevent you from having an erection. " 9) A nurse is collecting data from a client who has hyperthyroidism and is taking propylthiouracil . Which of the following statements by the client indicates the medication is effective? O "| no longer feel nervous." O "| no longer take a stool softener.” O "| have less oily skin." O "| continue to lose weight." 10) A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer and reports a change in the taste of food. Which of the following interventions should the nurse include in the plan of care? O Offer artificial saliva frequently. O Add honey to sweeten fruit smoothies. O Heat food before serving. O Provide three large meals daily. 3 11) A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take? O Raise all four side rails while the client is in bed. O Apply a motion sensor mat to the client's bed. O Leave the television on in the client's room. O Move the overbed table away from the bed. 12) A nurse is reinforcing teaching with a client about increasing her intake of fiber. Which of the following foods should the nurse encourage the client to eat? O Cheese O Pears O Yogurt O Eggs 13) A nurse is reviewin g the medical record of a client who reports his urine is red-orange. The nurse should identify which of the following medications can cause this adverse effect? O isoniazid O Metoprolol O Furosemide O Rifampin 14) A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse? O "Encourage your partner to wake up to interact with family members." O "Sitting quietly near the bedside can provide comfort and support." O "| will call the provider to discuss your concerns." O "| can ask the provider to prescribe a medication that will minimize drowsiness." 15) A nurse is reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the following information should the nurse include? O Drink fluids through a straw. O Plan to shampoo hair in 1 week. O Resume exercising in 10 days. O Close mouth when sneezing. 16) A nurse is reinforcing discharge teaching about dietary changes with a client who has a new colostomy. Which of the following foods should the nurse recommend? O Asparagus O Bananas O Grapes O Broccoli
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